| NPI | 1508002601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAN ISSA MOHAMED Operation Supervisor 612-724-3194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 2494835-2) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2008-12-20 |
| Last Update Date | 2008-12-20 |